The literature has conflicting evidence as regards the effect anastomotic techniques on POPF. Though the fistula rate is slightly lower with Blumgarts technique. With respect to the others preventive measures available evidence shows only reduced severity of fistula with sandostatin analogues, external drainage of pancreatic duct, avoidance of drains and perhaps direct duct to mucosa anastomoses.
A very useful session
The literature has conflicting evidence as regards the effect anastomotic techniques on POPF. Though the fistula rate is slightly lower with Blumgarts technique. With respect to the others preventive measures available evidence shows only reduced severity of fistula with sandostatin analogues, external drainage of pancreatic duct, avoidance of drains and perhaps direct duct to mucosa anastomoses.